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DEATH
CERTIFICATE
GERALDINE DUFF
Date 26 December 1940
Cert: 02309
Place of Death: County: Knott City or Town:
(blank)
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: 3 - 6
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Garrett, Ky.
Full Name: Geraldine DUFF
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 15 June 1937
Age: 03 years
Birthplace: Garrett, Floyd Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Green DUFF
Father Birthplace: Fed, Breathitt Co., Ky.
Mother Maiden Name: Birda CHAFFINS
Mother Birthplace: Garrett, Floyd Co., Ky.
Informant/Address: Green DUFF, Garrett, Ky.
Burial Place: Garrett, Ky.
Date: 27 December 1940
Signature of funeral director/address: (blank)
Date received by local registrar: 23 January 1941
Registrar's Signature: Macie Miller
Date of Death: 26 December 1940
I hereby certify that I attended deceased from 23 December
1940 to
26 December 1940, that I last saw him alive on 26 December
1940, and that death
occurred on the date stated above at (blank)
Immediate cause of death: 3rd Degree Burns on Body
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: W. L. Stumbo, M.D., Lackey, Ky.
Date signed: 31 December 1940
Transcribed by Debbie Tamborski, 17 August 2010 |
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